Individual provider Active NPI

Yonglan Zheng, PA-C

  • Physician Assistant
  • Deerfield Beach, FL
National Provider Identifier
1982365680
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117830 Issued in FL
Practice address
1166 W Newport Center Dr Ste 100
Deerfield Beach, FL 33442-7739
Phone
(954) 782-7701
Fax
(954) 782-9596
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117830 FL Primary

Addresses

Primary practice location

1166 W Newport Center Dr Ste 100
Deerfield Beach, FL 33442-7739

Mailing address

1166 W Newport Center Dr Ste 100
Deerfield Beach, FL 33442-7739
Phone (954) 782-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129002053 FL Practitioner - Physician Assistant 0345698478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dan H. Meirson, M.D., P.a.Group PAC ID 7810157237, 2 clinicians

Practice addresses (Care Compare)

1166 W Newport Ctr Dr
Suite 100
Deerfield Beach, FL 33442-7739
Phone (954) 782-7701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1982365680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 W NEWPORT CENTER DR STE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427739",
            "telephone_number": "954-782-7701",
            "fax_number": "954-782-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 W NEWPORT CENTER DR STE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427739",
            "telephone_number": "954-782-7701",
            "fax_number": "954-782-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "YONGLAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.